Provider Demographics
NPI:1912097726
Name:SCOTT D. BROWN
Entity Type:Organization
Organization Name:SCOTT D. BROWN
Other - Org Name:FAMILY HEALTH CENTER OF ASHLAND CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-792-1199
Mailing Address - Street 1:342 FREY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-1734
Mailing Address - Country:US
Mailing Address - Phone:615-792-1199
Mailing Address - Fax:615-792-9331
Practice Address - Street 1:342 FREY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1734
Practice Address - Country:US
Practice Address - Phone:615-792-1199
Practice Address - Fax:615-792-9331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD28452207Q00000X
TNPA1735363A00000X
TNAPN14199363LF0000X
TNAPN12526363LF0000X
TN8049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370759Medicaid
TN3156863OtherBLUE CROSS BLUE SHIELD OF
44D0914322OtherCLIA
TN3156863OtherBLUE CROSS BLUE SHIELD OF
E64172Medicare UPIN